32A-142 (7) Sim 9-6' 2x6@12"O.C.PERPENDICULAR TO COLUMNS AND BEAMS I STAGE STRUCTURE AT BAR:
CS KNEE-WALLS BELOW-TYP. 1 HOUR RATED FLOOR ASSEMBLY
Al2 I _ I (3)2x12 STAIR STRINGERS
SEE GA NO.FC4503 FOR ASSEMBLY NOTES
PROVIDE LEDGER AT I 3/4'T8G PLYWOOD WALL AND HANG WI
WITH
6"14 ga.,fY=50,3'FLANGE @ 12'O.C. SIMPSON STAIR STRINGER
Alt I (2)LAYERS S/8'G.W.B.CEILING HANGERS 2x6
NEW 2x4 @ 16'O.C.KNEE-WALL$ -- �O O.C.
LL PERPENDICULAR TO EXISTING
'T'D METAL SOUND EQUIPMENT
j FRAMING BELOW-TYP. NEW KNEE WALLS(GRAY
SCREEN-SEE DETAIL SECTION
TONE)-SEE SECTIONS FOR
EXTEND 8 RAISE EXISTING
PROVIDE EXPOSED SPRINKLERS UNDER
?------- ------------ FLOOR SYSTEM•DESIGN BY SPRINKLER NAIL
KNEE-WALLAS REQUIRED i i
4'-3"+l- EXISTING FINISHES/FRAMING TO it CONTRACTOR
KNEE-WALLS PERPENDICULAR REAMAIN EXISTING DANCE FLOOR C�V
f0 EXISTING FRAMING BELOW• EXISTING FLOOR STRUCTURE(V.I.F.):
IDE Zx4 CROSSBRACE AT EACH 82 514 DECKING BEYOND-GUARD RAIL PROVIDE TRACK FOR BAR
1 AS SHOWN-TYP.AT ALL NEW Al2 x15'JOISTS @ 16"O.C. OMMII-TED FOR CLARITY.
G.W.B.KNEE-WALLS G. LIGHTING BY OWNER-CENTER
EXISTING BAR TO REMAIN OVER BAR
EXTEND EXISTING �
WOVEN STEEL MESH wl 112' KNEEWALL AS REO'D
OPENINGS PT'D BLACK AND EXISTING BAR FLOOR
WELDED TO STEEL ANGLE FRAME I STRUCTURE TO REMAIN VERIFY CONSTRUCTION OF
ATTACH SOUND EQUIPMENT SCREEN ---I r-------------1F---------- -- EXISTING KNEEWALL- 1
!J SECTION THROUGH STAGE AT DANCE FLOOR TO KNEE WALLS AND BLOCKING w/2 \ III III EXISTING TIMBER BEAM BEYOND-V.I.F. PROVIDE 1 LAVER
/ 1/2'SCREWS AND WASHERS 9'-6' 9'-0' CONTINUOUS 518"G.W.B.FOR
O
1-HOUR FIRE-RESISTANCE o0
2 114'=1'-0' ( -
2"x2'STEEL ANGLE PTD BLACK- I I V,I,F.-" I -- -- V.I.F. - -- - RATINGS
TYP.ALL 4 SIDES, — TOP OF EXISTING FIRST FLOOR
)TE:SPACE BELOW STAGE AT DANCE FLOOR LEVEL O _—JAL--------------i L---------- — BEYOND a@
BE USED FOR AUDIO EQUIPMETN ONLY.DESIGN
mw
SPRINKLERS UNDER STAGE BY SPRINKLER ____ Z
___ EXISTING TIMBER BEAM BEYOND-V.I.F. °i
)NTRACTOR 2x4 BLOCKING
I I I EXISTING STEEL COLUMNS BEYOND-V.I.F. � m g
NEW STEEL CHANNEL
ATTACHED TO BRICK WALL
WITH EPDXY ANCHOR BOLTS 1
B2 DETAIL AT SOUND EQUIPMENT SCREEN SEE DETAIL SECTION A1.2 3'=1'-0' I I EXISTING CONC.KITCHEN FLOOR
_ _ _ — — — — _ _ _R _ _ _ _ _ _ — _ — — _
I II I
0STING TIMBER
AND BEAMS TO I I
DEIMOLISHED B3 C1.2 PLATFORM FRAMING PLAN
SECTION THROUGH STAGE AT BAR A1.2 va=r-0
I
I II I
D STAIR AND
HAND RAILS
i
Z FINISH FLOOR T.B.D.BY
LL
OWNER '
D EQUIPEMNET > `"
kINTED BLACK- Z N 2 112'x 2 12'STEEL ANGLE PT'D
ETAIL SECTION f� ' BLACK I
u•7� C7 D1 ,l_
Al2 Al2
U
� 3/4'BIRCH PLYWOOD wl CLEAR
POLYEUROTHENE FINISH
3UARD RAIL TO CONT.2x6 BLOCKING
VERIFYTOP OF AREA OF EXISTING RAISED
RAIL IS MIN,42" PLATFORM TO REMAIN 3'.1'
A.F.F. BELOW(HATCHED AREA)
MIN.
Cl SECTIONAL ELEVATION OF PROPOSED STAGE
u ILL---------- it i
ROPE LIGHT 1 '
NEW WOOD STAIR WITH
EXISTING P
3!4'BIRCH PLYWOOD PTD 1 T'D METAL PIPE
BLACK CONT.BLOCKING FROM ` DANCE HANDRAILS AT EACH SIDE-
2x8 8 EQAUL RISERS
FLOOR AREA 7 TREADS @ 11'ea-
(2)LAYERS 518"G.W.B.
DEMOLISH EXISTING
RAISED PLATFORM UP TO
EDGE OF HATCHED AREA
KNEEWALL/SOUND
EQUIPMENT SCREEN
BEYOND
V.I.F. C3 DETAIL SECTION AT STAGE FRONT REMOVE FIRST LINE
All 3'=T-0' OF EXISTING TIMBER '
COLUMNS AND BEAMS
EXISTING WALL AT STAGE '
PANELING/ACOUSTIC
TREATMENT TO REMAIN
-REMOVEAS C6X10.S CHANNEL DN ---------
3'-0112" EQ. EQ. REQUIRED AT NEW
STEEL LEDGER FINISHED FLOOR T.B.D.BY 2111 STEEL x 2 ANGLE x AT NEW RAISED
'IDE PAINTED BUILDING OWNER j __—, PLATFORM EDGE PLATFORM
WD LMT 3/4'T8G PLYWOOD DECKING
______-,� �—BUILD-UP EXISTING KNEE D3 ,�i „e="„„=e a^„"„�
i
LE
Base layer 5/8"(15.9 mm) Fire-Shield Gypsum Board applied at right angles to
!4"o.c. with 1 -1 /4" Type W or S drywall screws 24"oc. Face layer 5/8" Fire-Shield
►plied at right angles to joists with 1 -7/8" Typwe W or S drywall Screws 12"o.c.
nediate joists and 1 -1 /2" Type G screww 12" o .c placed 2" back on either side
-s offset 24" from base layer joints. Wood joists supporting 1 /2" wood structural
r;^kf Penpilo f^ ;^;e#e LAr;fk DA neylle �,e!!k;Rr%rr r+rw0Aler r*r%,m ko%m ®r dire r�c•i •��ri•e
City of Northampton
• S
Massachusetts
Vs DEPARMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Buildings ^b
Northampton, MA 01060
INSPECTOR
Louis Hasbrouck Fax:413-587-1272 Chuck Miller
Building Commissioner Phone:413-587-1240 Assistant Commissioner
CONSTRUCTION CONTROL DOCUMENT
(For professional Engineers/Architects responsible for Entire Project)
Project Title: j►-I ur - Al e i tZ* Sf,'n ''l-M-r-of P1 Date: t5 Z 0-/ 14—
Project Location: 4-11 "Ail-( ST: Map: Parcel: Zone:
Scope of Project: Ok STiev 6-f 1LV-1 OF— hXPL a-J Ta.A t SfVj ?c.,A rr-CA- 7
In accordance with the Eighth edition Massachusetts State Building Code, 780 CMR Section 107.6:
I, C btAZ L it
f`� S ` ! 0 t F�'�fi'7 Mass. Registration# 10 10
Being a registered professional Engineer/Architect hereby CERTIFIES that I have prepared or directly supervised
the preparation of all design plans, computations and specifications concerning:
[I-ENTIRE PROJECT
For the above named project and that to the best of my knowledge, such plans,computations and specifications
meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices
and all applicable Laws for the proposed project.
Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that
the above mentioned portions of the work proceed in accordance with the documents approved for the building
permit and shall be responsible for the following as specified in Section 10.7.6.2.2:
1. Review of shop drawings, samples and other submittals of the contractor as required by the
construction documents as submitted for the building permit, and approval for the conformance
to the design concept.
2. Review and approval of the quality control procedures for all code-required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine, in general, if the work is being performed
In a matter consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent
comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory
completion and readiness of the project for occupancy.
Signatu a d eal a istered Professional 'All
l/ Day of 20 14-^ =� >
{
(seal)
HINGE-1 OP ID:MN
CERTIFICATE OF LIABILITY INSURANCE D 10/21/2014'1
10/21/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER Phone:413-789-3995 �ET Melanie Nacewicz
Canary Blomstrom Ins.Agency Fax:413-786-7 PHONE 413-789-3995 F�No):413-786-7004
868 Springfield St.
Feeding ills,MA 01030-2151 A�ESS :mnacewicz@canarybiomstrom.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Hospitality Mutual Ins.Co.
INSURED Healthy Karma,LLC INSURER Bjechnology Insurance Co.
DBA Hinge INSURERC:
PO Box 205
Northampton,MA01061-0205 INSURERD:
INSURER E:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYpEOFINSURANCE I Y MB R MO�ICYEFF PIO�IDCYEXP LIMBS
GENERAL LIABILITY D EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY 00056530GL 07/26/2014 07/26/2015 PREMISES a occ D me $ 100,0
CLAIMS-MADE FRI OCCUR MED EXP(Any one person) $ 5.00
X Liquor Liability 00063372LL 05/04/2014 05/04/2015 PERSONAL&ADV INJURY $ 1,000,00
GENERAL AGGREGATE $ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000.00
JECT —1
POLICY PRO—1 LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
, :.jam _
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) S
AUTOS NOAUTOS PROPERTYDAMAGE $
HIRED AUTOS AUTOS P accident
UMBRELLAUAB HOCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DIED RETENTION s $
WORKERSCOMPENSATION X WC STATU- 0&-
AND EMPLOYERS'LIABILITY B ANY PROPRIETORIPARTNERIEXECUTIVE Y C3420290 07/26/2014 07/26/2015 E.L.EACH ACCIDENT $ 100,00
OFFICER/MEMBER EXCLUDED? NIA
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100,00
B yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,00
A Property Coverage 00056530CP ,07/26/2014 07/26/2015 Property 100,00
Contents 150,00
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required)
CERTIFICATE HOLDER CANCELLATION
CITYN01
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City Of Northampton ACCORDANCE WITH THE POLICY PROVISIONS.
Building Dept
Puchalski Municipal Building AUTHORIZED REPRESENTATIVE
212 Main Street /Northampton,MA01060 G/
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
Informati®n and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more
of the.foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work can such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC o: LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 Congress Street, Suite 100
Boston, MA 02114-2017
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 7-2010 Fax# 617-727-7749
www.mass.gov/dia
The Commonwealth of Massachusetts
Department of Industrial Accidents
- I Office of Investigations
1 Congress Street,Suite 100
Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print L,ecJbly
Name (Business/Organization/Individual): #e%#A,( Kr,1P4A 14- C OBAr
Address: &P, S 'T.
City/State/Zip: w4 Phone#:
Are you an employer?Check the Ippropriate box: Type of project(required):
4. I am a general contractor and I
1.[�I am a employer with 1� ❑ 6. [J New construction
employees (full and/or part-time).* have hued the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. XRemodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers'
insurance.$ 9. F1 Building addition
workers coin comp. insurance p' 10.❑ Electrical repairs or additions
required.] 5. ❑ We are a corporation and its
3.❑ I am a homeowner doing all work officers have exercised their I LF❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.] c. 152, §1(4), and we have no
employees. [No workers' 131-1 Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
lam an employer that is providing workers'compensation insurance for nay employees. Below is the policy and job site
information.
Insurance Company Name: U
Policy#or Self-ins.Lic.#:_ Expiration Date:
Job Site Address: a �"�- S4_ City/State/Zip:baAL4
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cer-.fy under th pains and penalties of erjury that the information provided above is rue and correct.
Sitrnature: Dater . _.
Phone#:
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No •
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
071-RS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property I
I
hereby authorize , to
act o y behalf, in all afters relative to work authorized by this building permit application.
Sig re of Owner -. Date
I, as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License.Holder: e PMA" � '� _7� f2
Lice �
nse Number
Address Expiration Date
l iw uK Yt'5-�20-S
Signature Jo. �,�,,..aj�,� �� Telephone
SECTIO 1 - RS'COM A ' N INSUR VIT(M.G.L.c.152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will esult
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes ® No
Versionl.7 Commercial Building Pennit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Charles Roberts, Kuhn Riddle Architects, 28 Amity St.,Amherst, MA Not Applicable O
. ._ __ 10107
Name(Registrant):
Charles Roberts^Kuhn Riddle Architects, 28 Amity St., Amherst, MA Registration Number
Address 08/15/2015
Expiration Date
Signature Telephone !
9.2 Registered Professional Engineer(s):
Ryan S. Hellwig, PE- Structural Engineer Engineering of floor joists
Name Area of Responsibility
28 Aldrich Street Northampton MA 37300
Address �.1 z r Registration Number
584-4594 06/30/2016_
Signature] r s Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephon e
Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
c Not Applicable ❑
Cornpany Name:
Responsible In Charge of Construction
L TRY,
Y� 3
4e 1 Telephone
Version 1.7 Commercial Building Permit May 15,2000
S. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size 2000 sf 200 sf
Frontage 25 25
Setbacks Front
Side L: R: L: R:
Rear
Building Height 45 45
Bldg.Square Footage 2000 100
Open Space Footage %
(Lot area minus bldg&paved 0 0
parking)
#of Parking Spaces 0
Fill:
volume&Location na
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DON'T KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW ® YES
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO (F) DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location: 3'x5' On building facade fronting Main St.
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO 0
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations El Existing Wall Signs ❑ Demolition[D Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other El
Brief Description Construction of a new raised performance platform.
Of Proposed Work:
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 E] A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B El
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: A-3 Proposed Use Group: A-2
Existing Hazard Index 780 CMR 34): 2/3/3 Proposed Hazard Index 780 CMR 34): 2/3/3
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(so
1 St 1,722 1 st 1,722
2nd 1,789 2nd 1,789
3b 1,651 3'd 1,651
4th 1,893 4th 1,893
Total Area(so 7,055 Total Proposed New Construction(so
7,055
Total Height(ft) 45
Total Height ft 45
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public (a Private ❑ Zone Outside Flood Zone E] Municipal E] On site disposal system❑
Version 1.7 Commercial Building Permit May 15,2000
- v Department use only
IRE C'T ity of Northampton Status ofPermit:
uilding Department Curb Cut/Driveway Permit 2 2�« �! 212 Main Street Sewer/Septic Availability
!L Room 100 Water/Well Availability
Electric,Piumbin li N rthampton, MA 01060 Two Sets of Structural Plans
Northampto MASS �Q*4 -587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
48 Main Street Map Lot Unit
Zone Overlay District
Elm St.District CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Tvscha r- A Y t A. . $ f IVI44 w K�
Name(Print) Current Mailing Address:
V13 -3En--Ssn/
gnature Telephone
2.2 Authors ed Agent:
cze
Name(Print) / Z� Current Mailing Address:
(5 6y4 - 35� �
Signature Telephone
SECTION 3-gSTIMATED N TR T O OST
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 1 G Z (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing 00 Building Permit Fee
4. Mechanical(HVAC) ,
5. Fire Protection �Y/ + D®
(_4/Total=(1 +2+3+4+5) Sj000 Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/inspector of Buildings Date
File#BP-2015-0457
APPLICANT/CONTACT PERSON MODY TUSHAR
ADDRESS/PHONE 13A GARDEN DR ELMWOOD PARK
PROPERTY LOCATION 48 MAIN ST
MAP 32A PARCEL 142 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT RAISED PERFORMANCE PLATFORM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN�FqRMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
"--wowo_
Sig a ut re of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
48 MAIN ST BP-2015-0457
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 142 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2015-0457
Project# JS-2015-000856
Est. Cost: $5000.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq ft.): 2003.76 Owner: MODY TUSHAR
Zoning: CB(100)/ Applicant: MODY TUSHAR
AT. 48 MAIN ST
Applicant Address: Phone: Insurance:
13A GARDEN DR
ELMWOOD PARKNJ07407 ISSUED ON:1012712014 0:00:00
TO PERFORM THE FOLLOWING WORK.CONSTRUCT RAISED PERFORMANCE
PLATFORM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 10/27/2014 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner